Arrhythmia Chest Pain Nursing 
Dr. Smith's ECG Blog
AUGUST 3, 2018
In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of 130 and called EMS. His chest pain was vague. He mentioned "cancer" and "chest". I’ll focus my comments on arrhythmia diagnosis. Fluids were started.
Dr. Smith's ECG Blog
APRIL 15, 2020
There are 6 KEY parameters to consider in systematic assessment of any arrhythmia. In summary — this leaves us with the abrupt onset of a regular WCT rhythm at ~185-190/minute ( that woke this nursing home patient up from a sound sleep ) — without any clear sign of atrial activity. PEARL #1 — Remember statistical likelihoods.
Dr. Smith's ECG Blog
OCTOBER 8, 2023
Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. All of the patients presented with chest pain , and they are all in triage. Imagine you just started your ED shift. It's a busy Friday afternoon.
Dr. Smith's ECG Blog
APRIL 8, 2016
A late middle-aged man presented with one hour of chest pain. IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 malignant ventricular arrhythmias are present), rapid replacement of potassium is required. Most recent echo showed EF of 60%.
EMS 12-Lead
JUNE 1, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. Chapter 17: Ventricular Arrhythmias. 2] Although the clinical context in today’s case does not fit these descriptors for Type I OMI (e.g.
American College of Cardiology
FEBRUARY 1, 2025
The simple test revealed Wolff-Parkinson-White syndrome, an easily diagnosable and treatable arrhythmia. "I These have ranged from heart attacks, cardio-obstetrics, breast cancer, prevention and arrhythmias.8-13 That's the only way we can give women a definitive diagnosis for what's causing their chest pain."
Dr. Smith's ECG Blog
APRIL 9, 2025
A middle-age woman with no previous cardiac history called 911 for chest pain. I'll never forget when I ordered such an infusion in 1991 and then my patient started seizing and I looked up and the nurse had hung the lidocaine wide open! This was her prehospital ECG: What do you think?
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